# HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Caretenders
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093743650
- **Authorized official:** JOSHUA L PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 7015 SPRING MEADOWS WEST DR STE 102, HOLLAND, OH 43528-9299
- **Practice address phone:** (567) 703-5399
- **Practice address fax:** (567) 703-5480
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 03/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159528 | — | OH |